Provider Demographics
NPI:1508295874
Name:RITTERHOUSE CASARIEGO, LAUREN LEE (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:LEE
Last Name:RITTERHOUSE CASARIEGO
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:LEE
Other - Last Name:RITTERHOUSE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:55 FRUIT STREET
Mailing Address - Street 2:WARREN 219
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2696
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2621
Practice Address - Country:US
Practice Address - Phone:617-726-2967
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-06
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.142239207ZP0007X
IL03614223207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
No207ZP0007XAllopathic & Osteopathic PhysiciansPathologyMolecular Genetic Pathology